- Care home
The Drive
Report from 1 May 2024 assessment
Contents
On this page
- Overview
- Assessing needs
- Delivering evidence-based care and treatment
- How staff, teams and services work together
- Supporting people to live healthier lives
- Monitoring and improving outcomes
- Consent to care and treatment
Effective
Systems were in place to assess people’s needs before they moved into the home. Leaders and staff had a good understanding of the principles of MCA. People were supported to have maximum choice and control of their lives and staff assisted them in the least restrictive way possible and in their best interests; the policies and systems in the service upheld this practice.
This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
Assessing needs
Before people moved into the home, managers and leaders assessed their needs to ensure the service was suitable and could meet their needs safely. Relatives confirmed the service involved them in the initial assessments, and a settling-in process was in place. A relative informed us, “The transition went well, it took [Name] a while to settle in. I am happy, everything is okay, and [Name] is settled.”
During our visit, managers and staff demonstrated a good knowledge of the people they support and cared for. They knew what individual needs were and the level of support to provide each person. Managers and leaders encouraged people who wished to use the service to spend a day at the home so they could make an informed choice for themselves.
Before a person moved into the home, managers and leaders assessed their needs to ensure the service was suitable and could meet their needs. Initial assessments covered people's physical, mental health and social care needs; including their personal care, mobility, nutrition, behaviour, communication needs and activities that interested them. Staff assessed people’s needs regularly to ensure the care and support in place was meeting their individual needs. Systems were in place to continually assessed and monitored people’s needs for example about their health, behaviour, or activities of daily living.
Delivering evidence-based care and treatment
We did not look at Delivering evidence-based care and treatment during this assessment. The score for this quality statement is based on the previous rating for Effective.
How staff, teams and services work together
We did not look at How staff, teams and services work together during this assessment. The score for this quality statement is based on the previous rating for Effective.
Supporting people to live healthier lives
We did not look at Supporting people to live healthier lives during this assessment. The score for this quality statement is based on the previous rating for Effective.
Monitoring and improving outcomes
We did not look at Monitoring and improving outcomes during this assessment. The score for this quality statement is based on the previous rating for Effective.
Consent to care and treatment
Staff sought consent from people before supporting them. One person told us, “Staff ask me before helping me with clothes and personal care.” Relatives said staff involved them in decision making as part of Mental Capacity Act 2005 (MCA) and best interest meetings. People told us they could make day to day decisions about their lives.
Staff received training which helped them to understand the principles of the MCA. Staff understood the process of best interest and the importance of supporting people to make their own decisions. Staff told us they always presume someone has capacity to make specific decisions for themselves and they use signs, pictures, and objects to promote effective communication.
The home worked within the principle of MCA. Staff sought people’s consent before supporting them and protected their rights. The service had policies on MCA (2005), Deprivation of Liberty Safeguards (DoLS) and restraint. The service assessed, monitored, and reviewed people’s mental capacity to ensure appropriate levels of support was in place for them. Where people were unable to make specific decisions about their care and support needs including their personal hygiene, finance or medicines, Staff carried out a mental capacity assessment and with best interest decisions in line with the Act. Best interest decisions involved people, their relatives, staff, and relevant professionals who knew them well. Where the service deprived people of their liberty for their own safety, DoLS authorisations were in place and any conditions of the authorisations were being met and kept under review.